关节镜下钢丝固定治疗胫骨髁间棘撕脱骨折  

Tibial spine avulsions treated with arthroscopic wires fixation

作　　者：陈游[1] 孙材江[1] 王万春[1] 张薇[1] 李菊元[1] 

机构地区：[1]中南大学湘雅二医院骨科,湖南长沙410011

出　　处：《中国内镜杂志》2005年第10期1082-1084,共3页China Journal of Endoscopy

摘　　要：目的介绍膝关节镜下施行胫骨髁间棘骨折复位及钢丝固定的手术方法并探讨临床效果及对预后的影响。方法17例胫骨髁间棘撕脱骨折患者,17个膝,其中Ⅱ型10例,Ⅲ型7例,平均27.6(9￣48)岁,均行膝关节镜下复位及钢丝内固定。结果平均随访20.5(3￣49)个月,16例患者关节活动范围在术后8￣12周基本恢复,1例伸膝差约10°,无关节不稳定表现,无骨折不愈合发生。结论关节镜下钢丝固定治疗胫骨髁间棘撕脱骨折,是一种损伤小、恢复快、固定效果可靠的方法,值得推广应用。[Objective] To introduce the methods of arthroscopic wires fixation of tibial spine avulsions and to eveluate the clinical results. [Methods] Seventeen knees in 17 patients with tibial-eminence fractures were treated with arthroscopic redution and wires fixation. 10 cases were type Ⅱ, 7 were type Ⅲ. They were an average age of 27.6 （9-48） years. [Results] Patients were followed up averagely for 20.5 （3-49） months： 16 cases had full range of motion of the knee, one had a fixed flexion deformity of 10°within five month after operation. No ligamentous instability has been seen in this group of patients comparing both knees. There was a negative anterior drawer and lachman test. Nonunion did not heen found in this group of patients. [ Conclusion] Arthroscopic reduction and wires fixation for displaced tibial avulsions may be one of the excellent method that can bring less injures and can be a reliable and safe technique.

关 键 词：关节镜 胫骨髁间棘 撕脱骨折 

分 类 号：R686.5[医药卫生—骨科学]